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  5. CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A.

CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A.

Company Details

Entity Name: CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 27 Jun 2001 (24 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: P01000064411
FEI/EIN Number 593728483
Address: 11333sw 10lane, GAINESVILLE, FL, 32607, US
Mail Address: 11333 sw 10lane, GAINESVILLE, FL, 32607, US
ZIP code: 32607
County: Alachua
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIAC & VASCULAR SURGERY SPECIALISTS, P.A. PROFIT SHARING PLAN 2012 593728483 2013-10-04 CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3523316777
Plan sponsor’s address 1121 NW 64TH TERRACE, SUITE A, GAINESVILLE, FL, 326054279

Signature of
Role Plan administrator
Date 2013-10-04
Name of individual signing ELMORE CROUSHORE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-04
Name of individual signing ELMORE CROUSHORE, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIAC & VASCULAR SURGERY SPECIALISTS, P.A. PROFIT SHARING PLAN 2011 593728483 2012-10-10 CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3523316777
Plan sponsor’s address 1121 NW 64TH TERRACE, SUITE A, GAINESVILLE, FL, 326054279

Plan administrator’s name and address
Administrator’s EIN 593728483
Plan administrator’s name CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A.
Plan administrator’s address 1121 NW 64TH TERRACE, SUITE A, GAINESVILLE, FL, 326054279
Administrator’s telephone number 3523316777

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing ELMORE CROUSHORE, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIAC & VASCULAR SURGERY SPECIALISTS, P.A. PROFIT SHARING PLAN 2010 593728483 2011-10-10 CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A. 18
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3523316777
Plan sponsor’s address 1121 NW 64TH TERRACE, SUITE A, GAINESVILLE, FL, 326054279

Plan administrator’s name and address
Administrator’s EIN 593728483
Plan administrator’s name CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A.
Plan administrator’s address 1121 NW 64TH TERRACE, SUITE A, GAINESVILLE, FL, 326054279
Administrator’s telephone number 3523316777

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing ELMORE CROUSHORE, M.D.
Valid signature Filed with incorrect/unrecognized electronic signature
CARDIAC & VASCULAR SURGERY SPECIALISTS, P.A. PROFIT SHARING PLAN 2010 593728483 2011-10-10 CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3523316777
Plan sponsor’s address 1121 NW 64TH TERRACE, SUITE A, GAINESVILLE, FL, 326054279

Plan administrator’s name and address
Administrator’s EIN 593728483
Plan administrator’s name CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A.
Plan administrator’s address 1121 NW 64TH TERRACE, SUITE A, GAINESVILLE, FL, 326054279
Administrator’s telephone number 3523316777

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing ELMORE CROUSHORE, M.D.
Valid signature Filed with authorized/valid electronic signature
CARDIAC & VASCULAR SURGERY SPECIALISTS, P.A. PROFIT SHARING PLAN 2009 593728483 2010-10-12 CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3523316777
Plan sponsor’s address 1121 NW 64TH TERRACE, SUITE A, GAINESVILLE, FL, 326054279

Plan administrator’s name and address
Administrator’s EIN 593728483
Plan administrator’s name CARDIAC AND VASCULAR SURGERY SPECIALISTS, P.A.
Plan administrator’s address 1121 NW 64TH TERRACE, SUITE A, GAINESVILLE, FL, 326054279
Administrator’s telephone number 3523316777

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing ELMER E. CROUSHORE, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CROUSHORE ELMER E Agent 11333 sw 10 lane, GAINESVILLE, FL, 32607

President

Name Role Address
CROUSHORE ELMER President 11333 sw 10 lane, GAINESVILLE, FL, 32607

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000016480 NF VASCULAR EXPIRED 2015-02-16 2020-12-31 No data 1121 N.W. 64TH TERRACE, GAINESVILLE, FL, 32605

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data
REGISTERED AGENT ADDRESS CHANGED 2018-11-27 11333 sw 10 lane, GAINESVILLE, FL 32607 No data
CHANGE OF MAILING ADDRESS 2018-11-27 11333sw 10lane, GAINESVILLE, FL 32607 No data
CHANGE OF PRINCIPAL ADDRESS 2018-11-27 11333sw 10lane, GAINESVILLE, FL 32607 No data
REINSTATEMENT 2018-11-27 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data
REINSTATEMENT 2015-10-12 No data No data
REGISTERED AGENT NAME CHANGED 2015-10-12 CROUSHORE, ELMER E No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data
REINSTATEMENT 2014-10-02 No data No data

Documents

Name Date
REINSTATEMENT 2018-11-27
REINSTATEMENT 2015-10-12
REINSTATEMENT 2014-10-02
ANNUAL REPORT 2013-06-10
ANNUAL REPORT 2012-03-18
REINSTATEMENT 2011-12-14
CORAPREIWP 2010-04-06
ANNUAL REPORT 2007-07-24
ANNUAL REPORT 2006-03-17
ANNUAL REPORT 2005-03-15

Related by officers

CROUSHORE ELMER E

NESMITH, GERTNER & ASSOCIATES, M.D., P.A.

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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